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MICHAELA MATHIS PMHNP-BC
NPI 1639061955
Nurse Practitioner - Psychiatric/Mental Health in Laveen, AZ

Active since July 21, 2025PECOS EnrolledAccepts Medicare Assignment
6720 S 49TH DR, LAVEEN, AZ 85339(509) 385-4509 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michaela Mathis Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAELA MATHIS PMHNP-BC (NPI 1639061955) is an individual psychiatric/mental health provider in Laveen, Arizona, licensed in Arizona (327359) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639061955
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAELA MATHISCredential: PMHNP-BC
Location Address6720 S 49TH DRLaveen, AZ 85339-1982
Mailing Address6720 S 49th DrLaveen, AZ 85339-1982 · (509) 385-4509
Phone(509) 385-4509
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 21, 2025
Last NPPES UpdateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1639061955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · 327359
6720 S 49TH DR, Laveen, AZ 85339
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michaela Mathis Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628557204
PECOS Enrollment IDI20260204004009
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michaela Mathis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marcann Mental Health Services, PLLC
20 mi
Clinical
4045 E BELL RD STE 139
Phoenix, AZ 85032
  • Reassigned Medicare billing, Arizona enrollment
  • 10 clinicians in this Medicare group
NPI 1992036545 (602) 824-9309

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85339 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michaela Mathis's NPI number?

The NPI number for Michaela Mathis is 1639061955. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Where is Michaela Mathis located?

Michaela Mathis practices at 6720 S 49th Dr, Laveen, AZ 85339. The listed phone number is (509) 385-4509.

What is Michaela Mathis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michaela Mathis enrolled in Medicare?

Yes. Michaela Mathis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michaela Mathis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michaela Mathis reassigns Medicare benefits to Marcann Mental Health Services, PLLC (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michaela Mathis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michaela Mathis accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Michaela Mathis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michaela Mathis was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.